Common use of SUITE REFURBISHMENT/TENANT IMPROVEMENTS Clause in Contracts

SUITE REFURBISHMENT/TENANT IMPROVEMENTS. Shall include the following: “Lessee agrees to hold Lessor harmless from any interruption of business suffered by Lessee or any liability whatsoever resulting from any Tenant Improvements as set forth in the Lease for subject Premises. Lessor will make every reasonable effort to complete said work as soon as possible, but can make no guaranty as to a specific date of completion, and same shall not affect the payment of rent due from Lessee. Lessee shall be responsible for moving all wall hangings and furniture and Lessor shall not be responsible for same. Lessee acknowledges that Lessor has forewarned Lessee of the inconvenience Lessee may experience by occupying said Premises during Tenant Improvement work including, but not limited to, interruption of utilities, odors, noise, dust and debris, and that Lessor is accommodating Lessee’s request to complete Tenant Improvements in subject Premises during Lessee’s occupancy. Lessee further agrees not to interfere with in any way, nor instruct Lessor’s construction crew.” Except as amended and modified herein, all other terms and conditions of said Lease by and between the Parties described above, shall continue in full force and effect. This Modification of Lease #1 shall become effective upon the date of execution hereof. AGREED AND ACCEPTED: AGREED AND ACCEPTED: LESSOR: LESSEE: ▇▇▇▇ COMMERCIAL REALTY CORP. A NEVADA CORPORATION NXG Acute Care LLC, a California Limited Liability Company and wholly-owned subsidiary of NextGen Healthcare Information Systems, Inc., a California Corporation and wholly-owned subsidiary of Quality Systems Inc., a California Corporation By: By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ Vice President/CFO ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Vice President Date: Date: October 13, 2009 TO LEASE DATED: October 1, 2009 BY AND BETWEEN: ▇▇▇▇ COMMERCIAL REALTY CORP., A NEVADA CORPORATION AS LESSOR; AND: NXG Acute Care LLC, a California Limited Liability Company and wholly-owned subsidiary of NextGen Healthcare Information Systems, Inc., a California Corporation and wholly-owned subsidiary of Quality Systems Inc., a California Corporation AS LESSEE

SUITE REFURBISHMENT/TENANT IMPROVEMENTS. Shall include Landlord has completed its standard refurbishment of Premises, which included patching and repainting, cleaning of all floors and floor coverings, replacement of all damaged ceiling tiles and cleaning of entire suite to “move-in” condition. Additionally, Landlord shall complete the following: “Lessee agrees to hold Lessor harmless from any interruption of business suffered by Lessee or any liability whatsoever resulting from any following Tenant Improvements at Landlord’s sole cost substantially in accordance with the attached Exhibit “A-1” using Landlord’s building-standard materials and finishes as set forth follows: 1. Construct approximately fifteen (15) linear feet of demising wall where shown; 2. Re-work existing lights, T-bar ceiling, HVAC registers, as needed; 3. Replace the existing carpet with Landlord’s standard carpet in Tenant’s choice of standard colors; 4. Provide and install automatic drop down projection screen in where shown; 5. Clean the Lease for subject Premisesentire suite to “move-in" condition. Lessor will Landlord shall make every reasonable effort to complete said work the above Tenant Improvements as soon as possiblereasonably possible after receipt of signed leases and move-in monies, and estimates said work to take approximately two (2) weeks to complete (other than the automatic drop down projection screen shich may take 3 weeks) from date of Landlord's receipt of signed leases, but Landlord can make no guaranty as to a specific of an exact date of completion. “Substantially Completed” and/or “Substantial Completion” of Tenant Improvements shall be defined as when the tenant improvements as set forth herein are completed and the suite is cleaned to the point that any reasonable person walking the Premises would deem it ready to occupy, minor punch-list items excepted. In the event Tenant requests Additional Tenant Improvements prior to its initial occupancy of the Premises, such improvements shall be subject to Landlord’s prior approval, with the understanding that the total cost of said Additional Tenant Improvements shall be the sole responsibility of Tenant. If Landlord and Tenant are unable to agree upon the plans for, or the cost of any such proposed Additional Tenant Improvements, Landlord shall not be obligated to construct such Additional Tenant Improvements. In the event Additional Tenant Improvements are approved by Landlord, then Landlord shall prepare an Additional Work Authorization (“AWA”) outlining the specific additional work to be completed and shall deliver same to Tenant. Tenant shall execute said AWA and return it to Landlord, together with a check for the total cost of such Additional Tenant Improvements. Landlord shall not be obligated to commence construction of any approved Additional Tenant Improvements until Landlord has received such signed AWA and the check. Further, should the Additional Tenant Improvements requested by Tenant result in a delay in the completion of the work as set forth in Item 4 hereinabove beyond the date that work would have been completed had such Additional Tenant Improvements not been requested, then Tenant agrees the Commencement Date for this lease will be effective upon the date those Tenant Improvements would have originally been completed, regardless of whether Landlord has actually completed the Tenant Improvements as set forth herein on that date, or whether Tenant can occupy the Premises on or before that date. In the event Tenant requires Additional Tenant Improvements in subject Premises after lease execution, such improvements shall be subject to Landlord’s prior approval, with the understanding that the total cost of the Additional Tenant Improvements shall be the sole responsibility of Tenant. If Landlord and Tenant are unable to agree upon the plans for, or the cost of, any such proposed Additional Tenant Improvements, Landlord shall not be obligated to construct such Additional Tenant Improvements. In the event Additional Tenant Improvements are approved by Landlord, then Landlord shall prepare an Additional Work Authorization (“AWA”) outlining the specific additional work to be completed and shall deliver same to Tenant. Tenant shall execute said AWA and return it to Landlord, together with a check for the total cost of such Additional Tenant Improvements. Landlord shall not be obligated to commence construction of any approved Additional Tenant Improvements until Landlord has received such signed AWA and the check. Any construction delay arising out of Tenant’s request for any Additional Tenant Improvements shall not affect the payment of rent due from LesseeRent as set forth herein. Lessee All Rent payments shall be responsible for moving all wall hangings and furniture and Lessor shall not be responsible for same. Lessee acknowledges that Lessor has forewarned Lessee due on the first of each month of the inconvenience Lessee may experience by occupying said Premises during Tenant Improvement work including, but Lease Term regardless of whether or not limited to, interruption of utilities, odors, noise, dust and debris, and that Lessor is accommodating Lessee’s request to complete the Additional Tenant Improvements in subject Premises during Lessee’s occupancy. Lessee further agrees not to interfere with in any way, nor instruct Lessor’s construction crewhave been completed or delayed.” Except as amended and modified herein, all other terms and conditions of said Lease by and between the Parties described above, shall continue in full force and effect. This Modification of Lease #1 shall become effective upon the date of execution hereof. AGREED AND ACCEPTED: AGREED AND ACCEPTED: LESSOR: LESSEE: ▇▇▇▇ COMMERCIAL REALTY CORP. A NEVADA CORPORATION NXG Acute Care LLC, a California Limited Liability Company and wholly-owned subsidiary of NextGen Healthcare Information Systems, Inc., a California Corporation and wholly-owned subsidiary of Quality Systems Inc., a California Corporation By: By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ Vice President/CFO ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Vice President Date: Date: October 13, 2009 TO LEASE DATED: October 1, 2009 BY AND BETWEEN: ▇▇▇▇ COMMERCIAL REALTY CORP., A NEVADA CORPORATION AS LESSOR; AND: NXG Acute Care LLC, a California Limited Liability Company and wholly-owned subsidiary of NextGen Healthcare Information Systems, Inc., a California Corporation and wholly-owned subsidiary of Quality Systems Inc., a California Corporation AS LESSEE

SUITE REFURBISHMENT/TENANT IMPROVEMENTS. Shall include Lessor shall complete its standard refurbishment of Premises, which includes patching and repainting, replacement of all damaged ceiling tiles and generally putting the following: “suite into "move-in" condition. Additionally, Lessor shall replace existing carpet with Lessor's standard carpet in Lessee's choice of standard colors. Lessor shall complete the following Tenant Improvements substantially in accordance with the attached Exhibit A-1 using Lessor's building-standard materials and finishes as follows: 1) Construct approximately 32' linear feet of new wail taped, textured and painted to match the rest of the suite; 2) Install one (1) new door and hardware where shown; 3) Relocate two (2) existing doors where shown; 4) Clean entire suite to "move in" condition, except rear tiled area where Lessee is storing furniture purchased from the former tenant. Lessor shall clean around that furniture to the best of its ability, but will not move any of it. Lessor and Lessee acknowledge that Lessee is storing its personal property (furniture) in the Premises during Lessor's refurbishment/tenant improvement period. Lessee acknowledges and agrees to hold Lessor harmless from any interruption of business liability or responsibility for damages to Lessee's personal property or for any loss suffered by Lessee through vandalism, theft, or destruction of the property by fire or any liability whatsoever resulting from any Tenant Improvements as set forth in the Lease for subject Premisesother causes. Lessor further has warned Lessee that the Premises will not be secure at all times during Construction/Refurbishment and Lessee is storing said furniture/personal property at its own risk. Lessor shall make every reasonable effort to complete said work the above Suite Refurbishment//Tenant Improvements as soon as possiblereasonably possible after receipt of signed leases and move-in monies, and estimates said work to take approximately two (2) weeks to complete from date of Lessor's receipt of signed leases, but Lessor can make no guaranty as to a specific of an exact date of completion, and same shall not affect the payment . "Substantially Completed" and/or "Substantial Completion" of rent due from Lessee. Lessee Suite Refurbishment shall be responsible for moving all wall hangings and furniture and Lessor shall not be responsible for same. Lessee acknowledges that Lessor has forewarned Lessee of defined as when the inconvenience Lessee may experience by occupying said Premises during Tenant Improvement work including, but not limited to, interruption of utilities, odors, noise, dust and debris, and that Lessor is accommodating Lessee’s request to complete Tenant Improvements in subject as set forth herein are completed and the suite is cleaned to the point that any reasonable person walking the Premises during Lessee’s occupancywould deem it ready to occupy, minor punch-list items excepted. Lessee further agrees not to interfere with in any way, nor instruct Lessor’s construction crew.” Except as amended and modified herein, all other terms and conditions of said Lease by and between the Parties described above, shall continue in full force and effect. This Modification of Lease #1 shall become effective upon the date of execution hereof. AGREED AND ACCEPTED: AGREED AND ACCEPTED: LESSOR: LESSEE: ▇▇▇▇ COMMERCIAL REALTY CORP. A NEVADA CORPORATION NXG Acute Care LLC, a California Limited Liability Company and wholly-owned subsidiary of NextGen Healthcare Information Systems, Inc., a California Corporation and wholly-owned subsidiary of Quality Systems Inc., a California Corporation By: By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇ Vice President/CFO ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Vice President Date: Date: October 13, 2009 TO LEASE DATED: October 1, 2009 BY AND BETWEEN: ▇▇▇▇ COMMERCIAL REALTY CORP., A NEVADA CORPORATION AS LESSOR; AND: NXG Acute Care LLC, a California Limited Liability Company and wholly-owned subsidiary of NextGen Healthcare Information Systems, Inc., a California Corporation and wholly-owned subsidiary of Quality Systems Inc., a California Corporation AS LESSEE's Initials Lessees Initials